Simmons II Flashcards

1
Q

Where does THF come from?

A

B9

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2
Q

What does THF do?

A

Important cofactor in biosynthesis of purines and thymidylate

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3
Q

Form of THF in purine synthesis?

A

N10

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4
Q

Form of THF in pyrimidine synthesis?

A

N5N10

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5
Q

What is Megaloblastic anemia?

A
  • Result of folate deficiency in which blast cells are unable to replicate DNA and divide
  • They just keep on getting bigger leading to weak membrane and poor O capacity
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6
Q

What are blast cells?

A

Premature RBC with no nucleus

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7
Q

What does 5-methyl-THF do?

A
  • Converts homocysteine to methionine
  • Homocysteine is toxic and methionine is used in AA metabolism
  • This is the only reaction 5-methyl-THF is used in and the reaction converts it back to THF
  • B12 required for reaction
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8
Q

What reaction requires B12?

A

homocysteine to methionine necessary for AA metabolism

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9
Q

What deficiency does b12 deficiency cause?

A

Folate

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10
Q

What are the purine bases?

A

Adenine
Guanine
2 ring structure

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11
Q

Nucleotide/side difference?

A

Nucleotide is side with added phosphate

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12
Q

Three pyrimidines

A

Cytosine, uracil, and thiamin

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13
Q

What does purine synthesis start with?

A

5 ribose phosphate

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14
Q

Branchpoint in purine synthesis?

A

IMP - can become amp or gmp

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15
Q

What is required for purine synthesis?

A

THF, AAs, Co2

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16
Q

What drug inhibits purine synthesis?

A

6 mercaptopurine

17
Q

What cancer is 6 mercaptopurine used for?

A

ALL

18
Q

Why do tumor drugs cause increased risk of infection?

A

WBCs formation is inhibited in marrow as well making susceptible to infection

19
Q

What is necessary for pyrimidine synthesis?

A

Co2, glutamine, and aspartate are necessary for synthesis

20
Q

What drug is useful in treating reumatoid arthritis?

A

Leflunomide inhibitis pyrimidine synthesis stopping WBC inflamatory reaction

21
Q

What does Thymidylate synthase do?

A
  • converts dUMP to dTMP
22
Q

Why is Thymidylate synthase good target for cancer drug?

A

Thymine is only in DNA and not RNA

23
Q

What does 5 fluorouracil do?

A

Blocks action of thymidylate synthase

24
Q

What is Dihydrofolate?

A

Product of pyrimidine synthesis that is toxic and needs to be converted by to tetrahydrofolate

25
Q

What does Methotrexate do?

A

Stops Dihydrofolate reductase which converts DFH to THF poisoning cell as DHF is toxic

26
Q

What does Ribonucleotide reductase do?

A
  • Responsible for formation of deoxyribose

- Good anti tumor target as deoxy is present in DNA but not RNA